BOSTON COLLEGE SUPPLEMENTAL PAYMENT REQUISITION IMPORTANT-PLEASE NOTE: This form is used to request payment for services rendered to the University outside of his/her regular position. Additional Pay Is paid as a lump sum amount and the Federal Tax Rate increases to 25%. Additional Pay Does Not Add to Retirement Grosses. EAGLE ID # EARN CODE SUP GROSS AMOUNT EMPLOYEE NAME JOB CODE DEPT ID. FUND PAY RUN FUND SOURCE ACCOUNT SEQ # PROJECT PROGRAM POS. NUMBER 610000 DESCRIPTION OF SERVICES RENDERED: PERIOD WORKED FROM SUNDAY / TO SATURDAY / / / APPROVALS METHOD OF CALCULATING PAYMENT: AUTHORIZED DEPARTMENT SIGNATURE EXT. DATE APPLICABLE PERSONNEL EXT. DATE BUDGET/ RESTRICTED LEDGER EXT. DATE - EXEMPT (MONTHLY EMPLOYEE ) FLAT RATE OR HOURLY RATE _______ x NO. OF HOURS _________= $_________ $_________ - NON-EXEMPT (WEEKLY/ HOURLY EMPLOYEE) * HOURLY RATE ______ x NO. OF HOURS _________ = $_________ *NOTE: Boston College is required by the Department of Labor to retain this documentation for all non-exempt employees. Please be advised that non-exempt employees should not be working a second job if total number of hours worked per week exceeds 40 when combined with hours worked in the employee’s primary position. Previously approved exceptions will require that, for total hours exceeding 40 per week, time and a half be calculated (as specified by the Department of Labor) and added to the supplemental gross amount. FORM COMPLETION APPLICABLE PERSONNEL APPROVALS: Dean, Director, Department Chairperson, Principal Investigator supplies: Employee Name and Boston College Eagle ID Number. Dates of service performed and current pay period end date. Start date must be a Sunday, and the end date must be a Saturday. Total Gross Amount for payment period. Authorized Departmental HR Account code. Seq. # - last four digits (1 alpha and 3 numeric characters) displayed in the HR Account Code. Executives, Deans, Administrators, FT/PT Office or Clerical Staff, Service Workers. Human Resources, More Hall 315. Full Time Faculty, Part Time Faculty, Religious Education Faculty. Academic Vice President Bourneuf House. - College of Advancing Studies Faculty, Summer Faculty. College of Advancing Studies - McGuinn 100. - Position Number if needed. Payment Calculation: Monthly employees enter either flat rate or the number of hours worked times the rate. Weekly/ hourly employees MUST enter hourly rate times the number of hours worked. Authorized Signature: Designated Responsible Person for the account charged The form must then be forwarded to the Applicable Personnel for Approval. (See APPLICABLE PERSONNEL APPROVAL) . CALCULATING DAILY PAY RATE FOR CONTRACTS AND GRANTS: This procedure for calculation of a daily rate is in accordance with the Federal Management Circular FMC-73-8: Const. Principles For Educational Institutions. All Federal Agencies and all sub-contracts involving Federal funds are subject to FMC-73-8. B. A. 9 Month Contract 12 Month Contract 9 Month Salary = Daily 12 Month Salary = Daily Rate 260 days Rate 195 days 12/2005 APPROVAL LOCATIONS EMPLOYEE TYPE - The Applicable Personnel should forward the form to the appropriate office for approval. (See Below) UNRESTRICTED DEPARTMENTAL OPERATING FUNDS APPROVAL: University Budget Office More Hall 300 Ext. 2-3383 ENDOWMENT/RESTRICTED FUNDS APPROVAL: Controller's Office More Hall 170 Ext. 2-4620 CONTRACT & GRANT FUNDS APPROVAL: Office of Sponsored Programs 21 Campanella Way Ext. 2-3374 Room 569 AGENCY FUNDS APPROVAL: Controller's Office More Hall 280 Ext. 2-3363 PLEASE MAKE A COPY FOR YOUR RECORDS